RACHAEL ELLEN DOLEZAL Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001209

License Status

NOT RENEWED

Business

First Name

RACHAEL

Middle

ELLEN

Last Name

DOLEZAL

Business Name

RACHAEL ELLEN DOLEZAL

Original Issue Date

09/28/2006

Effective Date

11/03/2009

Expiration Date

10/31/2011

City

CLEAR LAKE

State

Zip

50428

County

IOWA

Ever Disciplined

LastModifiedDate

12/07/2011